COASTAL CARDIOLOGY A MEDICAL CORP - NPI 1619127693 - Internal Medicine in Arroyo Grande, CA

Q: What is Coastal Cardiology A Medical Corp's NPI number?

The NPI number for Coastal Cardiology A Medical Corp is 1619127693. It was assigned to this organization in the NPPES registry on September 25, 2008. The provider is doing business as Coastal Cardiology.

Q: What is Coastal Cardiology A Medical Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

On this page

About Coastal Cardiology A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL CARDIOLOGY A MEDICAL CORP (NPI 1619127693), doing business as Coastal Cardiology, is a healthcare organization registered as a cardiovascular disease in Arroyo Grande, California and active in the NPI registry since September 2008. The organization lists Marissa Famularo, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1619127693

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameCOASTAL CARDIOLOGY A MEDICAL CORP

Location Address345 S HALCYON RDArroyo Grande, CA 93420

Mailing AddressPo Box 12003San Luis Obispo, CA 93406-2003 · (805) 782-8844 · Fax (805) 540-5881

Phone(805) 782-8844

Organization SubpartNo

Authorized OfficialMarissa FamularoOperations Manager · (805) 782-8844

Enumeration DateSeptember 25, 2008

Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1619127693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedSpecialistTaxonomy 174400000X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

345 S HALCYON RD, Arroyo Grande, CA 93420

Open in Google Maps ↗

Other Names 1

Doing Business AsCoastal Cardiology

Other Identifiers 3

OtherZZZ24859ZCA · Blue Shield

OtherCP1074Rr Medicare

MedicaidGR0068680CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COAST RADIOLOGY MEDICAL ASSOCIATES A CALIFORNIA GENERAL PARTNERSHIP

Radiology (Diagnostic Radiology)